Active NPIIndividual provider

Nan Lyu, CCC-SLP

Speech-Language Pathologist, in Jamaica Plain, Massachusetts

NPI Number1225856891
Practice location
75 Bickford St, Jamaica Plain, MA 02130-1401
Fax
—
Last updated
October 1, 2024

Nan Lyu is a Speech-Language Pathologist, based in Jamaica Plain, MA. Nan Lyu practices in Jamaica Plain, MA and has the professional credentials of CCC-SLP. The NPI Number for Nan Lyu is 1225856891 and holds a License No. SLP100693 (MA). The current practice location address for Nan Lyu is 75 Bickford St, Jamaica Plain, MA 02130-1401 and can be reached out via phone at 617-971-2100.

Provider Profile Details

NPI Number
1225856891
Provider Name
Nan Lyu
Credential
CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
75 Bickford St, Jamaica Plain, MA 02130-1401
Phone Number
617-971-2100
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Other Names
Nan Lu (Former Name)
Provider Enumeration Date
October 1, 2024
Last Update Date
October 1, 2024
Certification Date
October 1, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 Bickford St
Jamaica Plain, MA 02130-1401
Zip
02130-1401
Phone Number
617-971-2100
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
11 Hawthorne St
Belmont, MA 02478-1950
City
Belmont
State
MA
Zip
02478-1950

License Information

License Number
SLP100693
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nan Lyu, CCC-SLP?

The NPI number of Nan Lyu, CCC-SLP is 1225856891. It was assigned on October 1, 2024 and is currently active in the NPPES registry.

What is the specialty of Nan Lyu, CCC-SLP?

Nan Lyu, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number SLP100693.

Where does Nan Lyu, CCC-SLP practice?

The practice location is 75 Bickford St, Jamaica Plain, MA 02130-1401. The office can be reached at 617-971-2100 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225856891 directly on the NPPES registry website.

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